This doctor has a system

Chapter 515 578. Just want to keep some evidence

"I was wondering why something felt wrong." Bu Zhengyang said with some fear, "It turns out to be aortic dissection."

He felt extremely fortunate at this moment. Fortunately, Gao Feng had taken a look at it, otherwise something bad would have happened.

The patient was quickly put on the operating table, but the outcome was regrettable.

The old man ultimately did not make it off the operating table.

The family was very sad, but they did not blame the doctor.

The old man has lived in the Provincial Hospital on and off for nearly ten years. He gets along well with several attending doctors, and after a long time, everyone knows what kind of person each other is.

In fact, this is the normal relationship between doctors and patients. Unfortunately.
"Director Bu! Go to bed 26!" the nurse ran in and shouted, "The heart has stopped!"

Bu Zhengyang was drinking tea to calm himself down when he was suddenly startled.

However, looking at Gao Feng sitting next to him, he was not too flustered.

Bed 26 is a 32-year-old young male patient. He was diagnosed with myocardial infarction when he was admitted to the hospital, and a stent has been placed in the cardiology department.

It sounds sympathetic that he suffered a heart attack at such a young age, but people who know the inside story know that he brought it upon himself.

The patient had originally achieved nothing, but by luck he became a demolition household.

Let me say here that there are really a lot of people who need to be relocated in the urban area!
After the room and money were divided, the patient first got a wife, had a child, and then let himself go, indulging in all kinds of eating, drinking, and whoring.

In just 5 years, my weight soared from 120 kilograms to 190 kilograms, my blood lipids also soared, and my blood pressure soared.

He was eating skewers when he suddenly felt severe chest pain and passed out.

But he was lucky. The barbecue restaurant was right next to the Provincial Hospital, and several doctors from the cardiology department were having a dinner there, so they took him directly to the hospital.

When drawing blood, the nurse was stunned. Other people's blood was bright red, but his was milky white.

Just after he got better after having a stent placed in the cardiology department, he developed hospital-acquired pneumonia.

The attending physician felt it was a hassle and contacted the respiratory department to transfer the patient. However, the respiratory department was short of beds, so the patient was eventually transferred to the general department.

When the two ran to the bedside, the attending physician Mao Wen was already there, and a resident trainee was using both his hands and feet to perform an electrocardiogram on the patient.

The ECG monitor clearly shows a straight line.

Gao Feng was stunned for a moment, then he became furious.

"Press it!"

It's all straight, pull your uncle's electrocardiogram!

The intern was startled and quickly pulled the electrocardiograph machine back.

Gao Feng rushed forward and started cardiopulmonary resuscitation. The patient had just had a stent placed, and the probability of another heart attack was very high if this happened suddenly.

"Did you have any symptoms before?" Bu Zhengyang asked.

"He said he felt a little chest tightness half an hour ago. I increased the oxygen flow rate for him a little, and then he said he felt better." The nurse was a little scared, but at the same time she regretted it so much that she should have called a doctor to check it out earlier.

Gao Feng became even angrier. The patient was seriously ill. How could he make decisions on his own if any problem occurred?

The oxygen flow rate can be increased, but this situation must be informed to the attending physician or the doctor on duty.

Almost all diseases have triggers before they occur, but most of the time we are not aware of them.

"The patient's left lung has been consolidating. He has been complaining of chest tightness since he was transferred here." Bu Zhengyang said softly, "He is also fat. His endurance for activities was a bit poor before he got sick."

Fat people's activity endurance is definitely not as good as that of ordinary people, and they are more likely to experience chest tightness when there are problems with their cardiopulmonary function.

The reason is simple. When we inhale, we need to open our chest, but a fat man's chest is full of flesh, just like he is wearing a thick layer of flesh armor. Of course, it takes more effort for him to breathe in.

Moreover, the patient complained several times that he felt chest tightness, and each time the symptoms were relieved by increasing the oxygen flow for a while, so the nurse was careless this time.

With Gao Feng's persistent compression, the patient's heartbeat finally recovered and he was quickly transferred to the CCU.

After the patient left, Gao Feng really couldn't help it. He could understand that he didn't call the doctor before breathing, but what was going on with the electrocardiogram.

"Zhengyang, call everyone over!"

Everyone could hear the uncontrollable anger in his tone, and the office became eerily quiet.

"Mao Wen, what's going on in your mind?"

"The patient's heart has stopped beating! Why are you doing an electrocardiogram on him?"

“Why didn’t you press it right away?!”

Mao Wen broke out in a sweat instantly. He was so scared that he even stuttered when he spoke.

"Director, I just want to keep some evidence." He explained haltingly, "Otherwise...if something goes wrong later, we..."

"Leave evidence?" Gao Feng looked at him doubtfully, "What are you talking about!"

Mao Wen didn't dare to say anything more.

However, one of the trainees twitched his mouth a few times, as if he had something to say.

"Classmate." Gao Feng called him, "You can also express your opinion."

"Director, is there anything wrong with the electrocardiogram?" The boy was a little confused. "This is what my teacher taught me when I was in the emergency room."

Gao Feng was very surprised when he heard this.

"Is this what your teacher taught you in the emergency room?"

"Yes, for patients with cardiac arrest, an electrocardiogram must be taken first. Otherwise, without the electrocardiogram results in advance, even if the resuscitation is successful, there will be problems when filling in the data report due to lack of information."

The boy replied in a serious tone, "The teacher emphasized this on purpose."

His answer made Gao Feng confused. He didn't want to ask any more questions and just turned around and left the office.

"It's really nonsense." Li Youliang, who was following behind, also thought it was outrageous. For patients with cardiac arrest, compressions should be started as soon as possible. How could precious time be wasted on an electrocardiogram?

This is not a joke!
Gao Feng came directly to the emergency room, and the triage nurse greeted him warmly when she saw him.

"Director Gao, are you in a bad mood today? Why do you look so sullen?"

"I don't know, but it does look wrong." said another person.

Ma Liang was also in a bad mood. He was going to go on a blind date after get off work in the evening, but the damn Tony stabbed him in the back.

As we all know, in our country, there is only one place where gambling is legal, and that is the barber shop. Everyone who goes in is gambling, and their opponent is Tony, the teacher who cuts their hair.

Unfortunately, Ma Liang lost the bet this time.

When he came, he told teacher Tony that his hairstyle could be a little more mature.

He found out that the girl likes mature men, so he plans to go for the uncle style tonight.

But after the final hairstyle came out, Ma Liang was upset. This guy is too mature.

Anyone who doesn’t have two factories in his hands doesn’t deserve this hairstyle.

Stupid Tony teacher is very satisfied with himself, licking his face and asking him to give a good review online.

Ma Liang wanted to chop him to death, but he was too lazy to do it.

"Why don't you judge it yourself?" He pretended to hand over the phone.

Teacher Tonya actually accepted it. Ma Liang was shocked. What a shameless thing! Are you blind to cut it like this?
"What kind of review do you think I should write?" Teacher Tony was very hesitant. He had cut such a unique hairstyle, so he didn't know what he should write to praise himself and his barber shop.

“You can write that the barber shop is in a great location, and you can jump into the river right outside!” Ma Liang snatched the phone away, “Get lost!”

Gao Feng and Li Youliang were also controlled for five seconds when they saw his hairstyle.

"Brother Liang, have you made a fortune?" Li Youliang asked.

"It's better to have a flat head. In fact, a bald head looks better than this." Gao Feng said after taking a look.

"Stop talking!" Ma Liang cried so hard that he didn't want to go to the blind date tonight.

"What are you doing here?" Ma Liang asked. Generally, no one would come to the emergency room uninvited.

Gao Feng's mood suddenly became bad. "Are you busy now?" he asked.

"Fortunately, I'm on standby today." Ma Liang replied. If his luck was not very bad, he would not be so busy.

"Ma Liang, when we encounter a patient with cardiac arrest, do you think we should press immediately? Or should we do an electrocardiogram first?"

"Of course it's chest compressions immediately, of course!" Ma Liang responded without hesitation.

Gao Feng finally breathed a sigh of relief.

"Just now our general department rescued a male patient. When we arrived at the scene, the patient was unconscious and his aorta pulsation had disappeared. However, the doctor in charge did not start chest compressions, but instead directed the students to do an electrocardiogram"!
"Isn't this inappropriate? Even if we do an electrocardiogram immediately, it will take at least one or two minutes, which will undoubtedly delay the most precious golden recovery time!" Ma Liang responded.

"Is that right?"

Ma Liang was stunned for a moment, not understanding what he meant.

"But I heard that in your emergency room, when a patient with cardiac arrest enters the room, the first thing the team does is not to perform cardiac compression, but to ask the nurse to do an electrocardiogram first?" Gao Feng whispered.

Ma Liang was about to refute on the spot, but suddenly he seemed to remember something and was silent for a while.

"Hey, I know who this is."

Since the first day that Ma Liang worked in the emergency department, he has had an obsession that has never wavered, and without a single distracting thought, which is: for patients who come to the emergency department with out-of-hospital cardiac arrest or patients who suddenly suffer cardiac arrest in the emergency department, the first thought is: perform chest compressions immediately!
This is beyond doubt!
However, one afternoon, he went to the emergency room to get something, and a patient happened to be pushed in on a stretcher. The patient was unconscious and lying limply on the bed. There was no sign of life. The accompanying nurse said: The patient has just been unconscious for five minutes!
At this time, the nurse had already pushed the electrocardiograph to the bedside, but the old doctor, whom he respected very much, did not touch the carotid artery or call the patient. Instead, he signaled to the nurse: Do an electrocardiogram!

It was not until the nurse tore off the straight line on the electrocardiogram that the old doctor showed the family the electrocardiogram: the person was dead! Then he started cardiopulmonary resuscitation...

This incident completely overturned Ma Liang's cognition. There was actually such an operation!
He once reflected on himself: Why did this kind of operation that goes against common sense in emergency treatment occur?

After much thought, one explanation seems to be more reasonable: the pollution in the social cesspool and the lack of basic mutual trust among people, which is somewhat similar to when an old man falls down on the street and people only dare to help him after taking photos as evidence.

"Later I learned that Dr. Zhou had suffered a loss in this matter before."

In Ma Liang's impression, the emergency department of the Provincial Hospital has performed countless cardiopulmonary resuscitation cases. Only a few patients survived, but most of them passed away.

There has never been a case of medical dispute due to not doing an electrocardiogram immediately.

But Dr. Zhou encountered such a thing.

Dr. Zhou is an experienced doctor in the emergency room. He started working a few years earlier than Ma Liang. He is a little introverted, but he is serious and responsible in his work.

"He taught me a lot after a while." Ma Liang said, "He treated a patient who had a drinking-related illness. When his drinking buddies brought him here, his heart had already stopped beating."

Dr. Zhou started performing CPR without thinking, but the result was not satisfactory and the patient passed away.

Then came the subsequent troubles. The family members finally took the hospital to court, claiming that the failure was due to untimely rescue.

"The patient's heart didn't stop beating at that time. If he had been sent directly to the ICU, he might have survived!" said the family members. They provided a piece of evidence, which was the heart rate monitoring results extracted from an electronic watch.

It shows that the patient had a heart rate within the first few minutes after arriving at the hospital.

In fact, this type of electronic watch is very inaccurate. Sometimes when you tie it to a stone, it still indicates that your heart rate is normal.

But what is speechless is that the court accepted it because the hospital was unable to provide the electrocardiogram results before the compression.

Although many experts thought this was a bit nonsense, the hospital was still ordered to bear 30% of the responsibility and eventually paid the patient's family 20 yuan in compensation.

"This incident was a big blow to Dr. Zhou."

"Before the verdict came down, several family members took turns to insult him."

"He was supposed to be promoted that year, but it was delayed for several years because of this incident."

Since then, colleagues felt that Dr. Zhou had changed. He became a little cold and didn't like to communicate with them.

The new arrival Ma Liang tried to counsel the other party several times, and just when there was some effect, another incident occurred.

They met an old lady who had suffered cardiac arrest on the street in front of the hospital. There were a lot of people around, but no one dared to step forward.

Ma Liang and Doctor Zhou rushed forward and after much effort they managed to push the old lady over.

This is actually a very fulfilling thing, and it should make people happy when they talk about it.

But there was a situation in the middle. When they were performing cardiopulmonary resuscitation on the old lady, a young lady next to her recorded the whole process with her mobile phone. It was said that she was the old lady's family member.

I got on the 120 ambulance and asked carefully: It turned out to be the old lady’s daughter-in-law! "

Doctor Zhou was very surprised. The old lady had already passed away, but her family still had the mind to record the video. He didn’t know what they were thinking!

"Of course we keep some evidence!" the woman said matter-of-factly, "Who knows if you pressed it correctly? What if something happens to my mother?"

There was silence in the ambulance at that time. Dr. Zhou looked at Ma Liang with a look of confusion and surprise at times.

"Later, he liked to do an electrocardiogram before rescuing people." Ma Liang said this with a complicated tone, "When we were supervising the issue before, an expert even said that he had prepared all the emergency materials."

(End of this chapter)